Provider Demographics
NPI:1144207218
Name:HAMDANI, RAZA S (M D)
Entity Type:Individual
Prefix:DR
First Name:RAZA
Middle Name:S
Last Name:HAMDANI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 W INDIAN TRL STE B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1588
Mailing Address - Country:US
Mailing Address - Phone:630-882-9303
Mailing Address - Fax:630-882-9304
Practice Address - Street 1:2424 W INDIAN TRL STE B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1588
Practice Address - Country:US
Practice Address - Phone:630-882-9303
Practice Address - Fax:630-882-9304
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036074563207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology